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Electroretinogram Recording for Infants and Children under Anesthesia to Achieve Optimal Dark Adaptation and International Standards
Published on: September 3, 2020
Safe anesthesia for neonates, infants and children
Divya Raviraj1, Thomas Engelhardt2, Tom Giedsing Hansen3,4
1Royal Aberdeen Children's Hospital and School of Medicine and Dentistry, University of Aberdeen, Aberdeen, UK - divya.raviraj@nhs.net.
Insights
Minimizing risks in pediatric anesthesia involves robust safety protocols and multidisciplinary training. Further research is needed to understand long-term neurodevelopmental effects of general anesthesia in children.
Area of Science:
- Anesthesiology
- Pediatric Medicine
- Neurodevelopmental Science
Background:
- Growing human data suggests potential neurodevelopmental effects of general anesthesia in children.
- The long-term significance of these neurodevelopmental effects remains unclear, pending further research.
- Established risks in pediatric anesthesia are significant but manageable.
Purpose of the Study:
- To review perioperative safety concerns in pediatric anesthesia.
- To explore strategies for minimizing risks through education and training.
- To discuss the impact of anesthesia on pediatric neurodevelopment.
Main Methods:
- Literature review of current data on pediatric anesthesia safety.
- Analysis of strategies for risk mitigation in pediatric anesthesia.
- Exploration of the relationship between anesthesia and neurodevelopment.
Main Results:
- Robust anesthesia conduct, including physiological stability and psychological support, minimizes known risks.
- Multidisciplinary teamwork, cross-specialty training, and advanced fellowships enhance safety.
- Long-term neurodevelopmental outcomes require further investigation.
Conclusions:
- Pediatric anesthesia safety can be optimized through comprehensive training and established protocols.
- Addressing preoperative anxiety and postoperative care is crucial for minimizing risks.
- Continued research is essential to fully understand anesthesia's impact on pediatric neurodevelopment.
Abstract:
This review provides an overview of the perioperative safety concerns in pediatric anesthesia and exploration of strategies to minimize these risks through education and training in pediatric anesthesia. There is increasing human data on the effects of general anesthesia for surgery and procedures on later neurodevelopment. However, the magnitude and relevance of this remains unclear while the long-term outcomes from recent human studies are awaited. The current known and established risks associated with pediatric anesthesia can be minimized by establishing a robust and safe conduct of anesthesia. This not only includes maintenance of normal physiological variables but also other aspects such as reduction of preoperative fear and anxiety and postoperative care. This can be achieved through effective multidisciplinary team working, cross specialty training and further development of fellowships and secondments.
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